Official websites use. Share sensitive information only on official, secure websites. Improvements in total shoulder arthroplasty TSA , fast-track surgery, multimodal anesthesia, and rehabilitation protocols have opened up the possibility of outpatient care that is now routinely practiced at our European institution.
The first objective of this study was to define the TSA outpatient population and to verify that outpatient management of TSA does not increase the risk of complications. The second objective was to determine patient eligibility parameters and the third was to compare functional outcomes and identify influencing factors. The study included patients who had primary TSA outpatient and 59 inpatient procedures.
The operative technique was the same for both groups. Demographics, complications, readmissions, and revisions were collected. Satisfaction and visual analog scale pain scores also were documented. Statistical analysis was completed using multivariate linear regression.
Outpatients were significantly younger and had lower American Society of Anesthesiologists scores than inpatients. The rates of complications, readmissions, and reoperations were not significantly different between groups. Outpatient surgery was not an independent risk factor for complications.
Distance to home, dominant side, operative time, and blood loss were not associated with functional results. Multivariate analysis demonstrated that outpatient care was significantly associated with improved scores at 1. This study reports the results of routine outpatient TSA within a European healthcare system.
